MEDICARE: MEDICAL ONE ACEC INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1356492169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ONE ACEC INC.

Provider Business Mailing Address
First Line	:	4248 HARBOUR BEACH BLVD
Second Line	:
City	:	BRIGANTINE
State	:	NJ
Zip	:	08203-1361
Country	:	US
Telephone Number	:	609-266-0400
Fax Number	:	866-912-0605

Provider Business Practice Location Address
First Line	:	4248 HARBOUR BEACH BLVD
Second Line	:
City	:	BRIGANTINE
State	:	NJ
Zip	:	08203-1361
Country	:	US
Telephone Number	:	609-266-0400
Fax Number	:	866-912-0605

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. NANCY M ALOSI
Credential	:
Telephone Number	:	609-266-0400

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	05/14/2014

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